Web Exclusive Content: Pictorial EssayBallistic and Penetrating Injuries of the ChestTruesdell, William MD*; Gore, Ashwani MD†; Primakov, Denis MD‡; Lieberman, Howard MD§; Jankowska, Danuta MD∥; Joshi, Gayatri MD†; Goyal, Nikhil MD¶ Author Information *Northwell Health System, Queens ∥Lenox Hill Hospital, Northwell Health ¶Northwell Health, New York, NY †Emory University Hospital, Atlanta, GA ‡Christiana Care Health, Newark, DE §Jackson Memorial Hospital, Miami, FL The authors declare no conflicts of interest. Correspondence to: William Truesdell, MD, Department of Radiology, Long Island Jewish Medical Center, 270-05 76th Ave., Queens, NY 11040 (e-mail: [email protected]). Journal of Thoracic Imaging: March 2020 - Volume 35 - Issue 2 - p W51-W59 doi: 10.1097/RTI.0000000000000449 Buy Metrics Abstract Ballistic injuries are a major cause of morbidity and mortality in the United States. Unstable patients have high mortality, and only a small subset arrive at the hospital alive. Many patients undergo emergent surgery upon arrival, but a small subset undergo imaging with plain film, computed tomography, and echocardiography. We present a pictorial essay of ballistic and penetrating injuries and their complications with a focus on lung, cardiac, and vascular injury. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.